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Individual

ALLIE M ANDRUS MCCANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MFT, ATR-BC

Contact information

Practice address
435 PETALUMA AVE, #140, SEBASTOPOL, CA 95472
(707) 219-8484
Mailing address
174 COBURN RD, PLAINFIELD, VT 05667-4407
(650) 283-0375

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
100.0134023
VT
106H00000X
Marriage & Family Therapist
MFC44433
CA
106H00000X
Marriage & Family Therapist
Primary
MFT44433
CA
106H00000X
Marriage & Family Therapist

Other

Enumeration date
02/21/2007
Last updated
09/12/2023
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